[Skip to Navigation]
Sign In
May 1940


Author Affiliations


Arch Surg. 1940;40(5):838-843. doi:10.1001/archsurg.1940.04080040020003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


First aid should be directed immediately toward reduction of the fracture by traction, protection of the wound with sterile gauze and splinting with plaster, steel or wooden splints.

On the patient's admission to the hospital, anteroposterior and lateral roentgenograms are made.

OPERATION  Sterile gauze is placed in the wound; the surrounding skin is shaved and thoroughly cleansed with soap, water, ether or benzine. The gauze is then removed from the wound, and an adequate débridement of the devitalized skin, fascia, muscle and detached bone is made. The débridement is of the greatest importance and should be done thoroughly. Wounds compounded from within are usually not as severe as those received from without, nor is the contamination as great. The fracture is then reduced and immobilized by splinting, and the Carrel method of treatment of the wound is instituted at once.

REDUCTION OF FRACTURE  Manipulation and manual traction should be attempted

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution